Individual
GEATENET G WASIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4851 N WASHINGTON BLVD, ARLINGTON, VA 22205
(703) 536-7100
(703) 536-1003
Mailing address
4851 N WASHINGTON BLVD, ARLINGTON, VA 22205
(703) 536-7100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011303
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008501645
—
VA
Enumeration date
10/04/2010
Last updated
10/04/2010
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